Job & Family Services Early Learning and Development
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Child Care Forms

Forms can be accessed from Forms Central at
Frequently used and frequently requested forms are available from this page.  The forms listed below are directly linked to ODJFS Forms Central and are the most up to date version of the form.  There are additional forms on the Forms Central site.

Prescribed Forms - Number and Title          Sample Forms - Number and Title             
JFS 01201 Dental First AidJFS 01207 Parent Handbook Checklist
JFS 01206 Rehabilitation Criteria for Child CareJFS 01208 Weekly Attendance
JFS 01210  Application for Child Care License
(only available upon request 1-866-886-3537)
JFS 01218 Basic Infant Information
JFS 01217  Request for Administration of Medication

JFS 01223 Monthly Attendance

JFS 01230 Vehicle Annual Inspection Report

JFS 01225 Routine Trip Permission Slip

JFS 01234 Child Enrollment and Health Info.JFS 01226 Field Trip Permission Slip
JFS 01234SPA Child Enrollment & Health Info.  (Spanish)JFS 01227 Swimming Activities Permission Slip
JFS 01235 Sleep Position WaiverJFS 01228 Infant Daily Report

JFS 01242 Medical Dental General Emergency Plan

JFS 01229 Transition Letter for Child Care Centers
JFS 01266 Contracted Driver Qualifications StatementJFS 01232 Field Trip Checklist
JFS 01299 Incident/Injury Report FormJFS 01236 Child Medical/Physical Care Plan
JFS 01303 Fire Inspection ReportJFS 01236S (Spanish) Child Medical/Physcial Care Plan
JFS 01306 Employee Record ChartJFS 01239 Field Trip Information Record
JFS 01307 Inservice TrainingJFS 01240 Food Service License Exemption - Centers Only
JFS 01310 Required Staff/Child RatiosJFS 01268 Sample Parent Handbook for Child Care Centers
JFS 01328 Statement of Nonconviction JFS 01271 Verification of Five Years Ohio for Registered Child Day Camps
JFS 01329 Statement of Nonconviction - Type B ProvidersJFS 01296 Employee Medical Statement
JFS 08087 Communicable Disease ChartJFS 01305 Child's Medical Statement
Prescribed Forms  - Child Care Centers Use OnlyJFS 01308 Child Observation Form
JFS 01310 Required Staff/Child RatiosJFS 01338 Weekly Vehicle Inspection & Evacuation Drill

JFS 01237 Center Parent Information

Prescribed Forms - Type A Home Use Only
JFS 01238 Second Adult StatementJFS 01335 Type A Home Plan of Operation
JFS 01240 Food Services License ExemptionJFS 01335-I Instructions for Completing Type A Plan of Operation
JFS 01246 Employee Policy StatementJFS 01336 Type A Home Building Inspection
JFS 01250 Plan of OperationJFS 01337 Type A Home Parent and Employee Info.
JFS 01250-I Instructions for Completing the JFS 01250JFS 01933 Liability Insurance Affidavit for Type A & Type B Child Care Homes
JFS 01281 Child Care Playground Inspection Report
Conference Pre-Approval Inservice Training Instructions and Submission FormCommunicable Disease Trainer Registration Form
JFS 01203 Pre-Approval for Conference Inservice Training  JFS 01278 Communicable Disease Trainer Registration Child Care Centers and Type A Homes
JFS 01203-I Instructions for Completing JFS 01203
Pre-Approval for Conference Inservice Training

Reference Guides

JFS 01212 Compliance Tips and RemindersJFS 01251 Type A Homes Meal Prep & Water Sanitation
JFS 01216 Guidelines for Administration of MedicationJFS 01253 Tips for Responding to an Inspection Report
JFS 01219 CCSM/Employees Requirements for
Rules 25/26
JFS 01260 Diaper Changing Instructions
JFS 01220 Suggested Play Equipment and MaterialsJFS 01263 Guidelines for Primary Caregiving
JFS 01233 Guidelines for Transportation and Field TripsJFS 01267 Transportation/Field Trip/2nd Adult Requirements (Centers)
JFS 01244 First Aid Kit Supplies ListJFS 01269 Handwashing Procedures